A qualitative study on needle-related distress of arteriovenous fistula experiences in hemodialysis patients
10.3761/j.issn.0254-1769.2025.19.004
- VernacularTitle:血液透析患者动静脉内瘘穿刺相关痛苦体验的质性研究
- Author:
Wenqian WANG
1
;
Hongyan NIU
1
;
Qingzhi LI
1
;
Lulu HU
1
Author Information
1. 213003 常州市第一人民医院(苏州大学附属第三医院)血液净化中心
- Publication Type:Journal Article
- Keywords:
Maintenance Hemodialysis;
Arteriovenous Fistula;
Needle-Related Distress;
Qualitative Research;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(19):2328-2333
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the authentic experiences of needle-related distress during arteriovenous fistula cannulation in hemodialysis patients and provide a basis for developing targeted assessment tools and intervention plans in clinical practice.Methods This study adopted a descriptive phenomenological research method.Using purposive sampling,13 hemodialysis patients with arteriovenous fistula from the blood purification center of a tertiary hospital in Changzhou were recruited for semi-structured interviews between November 2024 and January 2025.Data were analyzed using Colaizzi's 7-step method.Results Totally 4 themes and 10 sub-themes were extracted,namely dynamic evolution of distressing experiences(cognitive gaps and unfamiliar environments triggering distress,familiarity with procedures and self-management alleviating distress,sudden medical events reawakening distress),embodied cognition of distressing experiences(somatic distress,cognitive distress,mind-body dualistic interaction),subjective interaction in distress perception(subjective perceptions of differences in puncture skills,positive regulation through good communication attitudes),coping strategies for distressing experiences(empowerment-based coping,adaptive compromise).Conclusion The needle-related distress associated with arteriovenous fistula puncture in hemodialysis patients is not a single physical feeling,but a complex experience involving physical and mental interaction,nurse-patient interaction and coping strategies.Clinically,a dynamic assessment and precise intervention system should be constructed to improve patients' puncture experience and quality of life.
